| NPI | 1356602197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VELMA SMITH Owner/President 708-681-2991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2015-04-02 |